Longitudinal evolution of physical activity type and eating and weight concerns among adolescents.

Giulio D'Anna, Lorenzo Lucherini Angeletti, Lara Allegrini, Arianna Ida Altomare, Daniela Betti, Alessandra De Martino, Giulia Minotti, Chiara Muscarella, Federica Benvenuti, Valdo Ricca, Francesco Rotella
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Abstract

Purpose: To provide a prospective 2 year follow-up of a previously enrolled adolescent high school sample, regarding body image and eating concerns, and patterns of sports type and physical activity.

Methods: Sports type, weekly time devoted to it, and psychopathological self-reports (Eating Disorders Examination Questionnaire 6.0, Body Uneasiness Test, and Muscle Dysmorphia Disorder Inventory) were evaluated longitudinally in a general population sample enrolled in a previous study, testing prospective variations in an observational setting.

Results: At follow-up, girls expressed increased dietary restraint and body uneasiness as compared to baseline, whereas boys expressed increased body uneasiness-and specifically in the avoidance, depersonalisation and compulsive self-monitoring dimensions. Among both sexes, a significant shift towards individual activities or lack of activity was observed after 2 years, with a reduction in team sports involvement. Among girls, time devoted to exercise significantly decreased at follow-up.

Conclusions: The present findings indirectly confirm an increased vulnerability to dietary, bodily and appearance-based concerns among adolescents. The role of different patterns of physical activity and exercise time may interact bidirectionally with these problematic areas, considering that previous studies point out increased concerns among inactive subjects, and among those who choose individual activities.

Level of evidence: Level IV-longitudinal observational study.

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青少年体育活动类型与饮食和体重的纵向演变。
目的:对先前入学的青少年高中样本进行为期2年的前瞻性随访,涉及身体形象和饮食问题,以及运动类型和体育活动模式。方法:在先前研究中招募的一般人群样本中,纵向评估运动类型、每周投入运动的时间和精神病理自我报告(饮食失调检查问卷6.0、身体不安测试和肌肉畸形障碍量表),在观察性环境中测试前瞻性变化。结果:在随访中,与基线相比,女孩表现出更多的饮食限制和身体不安,而男孩表现出更多的身体不安——特别是在回避、人格解体和强迫性自我监控方面。在两性中,两年后观察到个人活动或缺乏活动的显著转变,团队运动的参与减少。在女孩中,用于运动的时间在随访中显著减少。结论:目前的研究结果间接证实了青少年对饮食、身体和外表的担忧日益增加。考虑到先前的研究指出,不运动的受试者和选择单独活动的受试者对这些问题区域的担忧增加,不同的体育活动模式和锻炼时间的作用可能会与这些问题区域双向互动。证据等级:iv级——纵向观察研究。
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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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